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September 7, 2018Pacing and Clinical ElectrophysiologyOpen Access

Worldwide pacemaker and defibrillator reuse: Systematic review and meta‐analysis of contemporary trials

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Why the study?

Do reused pacemakers and defibrillators increase the risk of infection, malfunction, or death compared to new devices?

Population

2,302 devices from 9 observational studies. Meta-analysis included 5 controlled trials with 2,114 devices.

Comparison

Reused pacemakers and defibrillators processed… vs New pacemakers and defibrillators

Design

Meta-analysis

Authors

SSSunil SinhaJohns Hopkins UniversityBSBhradeev SivasambuUniversity of MissouriGYGayane YenokyanJohns Hopkins University

Discussion

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Implication

Supports reuse to expand access in resource-limited settings; confirms comparable infection, malfunction, and battery risks versus new devices.

Structured PICO

Do reused pacemakers and defibrillators increase the risk of infection, malfunction, or death compared to new devices?

P
Population
2,302 devices (2,017 pacemakers, 285 defibrillators) from 9 observational studies. Meta-analysis included 5 controlled trials with 2,114 devices (1,258 new vs 856 reused).
I
Intervention
Reused pacemakers and defibrillators processed with modern protocols (interrogation, disinfectant therapy, biocidal agents, packaging, and ethylene oxide gas sterilization)
C
Comparator
New pacemakers and defibrillators
O
Outcome
Composite risk of infection, malfunction, premature battery depletion, and device-related deathsafety

Reusing pacemakers and defibrillators with modern sterilization protocols appears safe and does not significantly increase infection or malfunction risks compared to new devices, supporting the rationale for a prospective RCT.

Cite This Study

Sinha et al. (2018) studied this question.

synapsesocial.com/papers/6a72da5c52863cde50543973https://doi.org/10.1111/pace.13488

Topics

Cardiac device therapy
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